Wambuu, Peterson
Wambuu, Peterson is an individual health care provider with primary practice located at 2323 Bennett Ave , Des Moines IA 50310-6112. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Wambuu, Peterson can be contacted via phone (515) 344-3153.Contact Information
Primary practice address
2323 Bennett Ave
Des Moines IA 50310-6112
Phone: (515) 344-3153
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X |
Profile Details
| NPI number | 1386334456 |
|---|---|
| LBN Legal business name | Wambuu, Peterson |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2023 |
| Last updated | May 11th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386334456 | NPPES |
| Iowa | MEDICAID | 1790488567 |
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